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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">3146</article-id><article-id pub-id-type="doi">10.69541/NRIPH.2026.01.005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>Possibilities of telemedicine application in otorhinolaryngology. Expert interview</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Chernetsov</surname><given-names>Artem Vladislavovich</given-names></name><bio></bio><email>tredqiwik@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Roshchin</surname><given-names>Denis Olegovich</given-names></name><bio></bio><email>droshchin2@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2026-03-23" publication-format="electronic"><day>23</day><month>03</month><year>2026</year></pub-date><issue>1</issue><fpage>36</fpage><lpage>43</lpage><history><pub-date date-type="received" iso-8601-date="2026-03-25"><day>25</day><month>03</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 1970,</copyright-statement><copyright-year>1970</copyright-year></permissions><abstract>Telemedicine in outpatient otorhinolaryngology is actively developing; however, its boundaries of application remain insufficiently defined. Criteria for patient selection, the safety of remote monitoring, and the role of telemedicine in initial consultations are still underexplored. The aim of this study was to examine the opinions of practicing otorhinolaryngologists regarding the use of telemedicine in their work and to compare these opinions with current literature data. Between January and March 2025, interviews were conducted with ten outpatient otorhinolaryngologists (experience 12—30 years; inclusion criteria — at least 10 years of professional practice and practical familiarity with telemedicine). The interview recordings were transcribed and subjected to thematic analysis. It was found that 8 out of 10 experts had used telemedicine during the COVID-19 pandemic, and five continue to use it today. All respondents considered remote consultations appropriate for follow-up visits and chronic patient monitoring; 7 out of 10 recognized its usefulness for early postoperative follow-up, whereas for initial diagnostics, 6 experts admitted only the format of tele-triage, while 4 insisted on the necessity of in-person examination. The main advantages identified were improved accessibility of care and time savings, while the key barriers included the impossibility of full physical examination, technical failures, and legal restrictions. The findings confirm that telemedicine is a valuable supplement to in-person consultations in outpatient ENT practice; however, its implementation requires regulatory adjustments, technical support, and participant training.</abstract><kwd-group xml:lang="en"><kwd>telemedicine</kwd><kwd>otorhinolaryngology</kwd><kwd>remote consultation</kwd><kwd>primary healthcare</kwd><kwd>digital health technologies</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>телемедицина</kwd><kwd>оториноларингология</kwd><kwd>дистанционное консультирование</kwd><kwd>первичная медицинская помощь</kwd><kwd>цифровые технологии в здравоохранении</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Федык Л. А., Пундель И. С., Расоева Е. В. Телемедицина сегодня. Компетентность. 2022;(9—10):60—63. DOI: 10.24412/1993-8780-2022-9-10-60-63</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Шалберкина М. Н. Цифровое здравоохранение после COVID-19: извлечённые уроки. Вестник Университета имени О. Е. Кутафина. 2022;9(97):154—160.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>McCool RR, Davies L. Where does telemedicine fit into otolaryngology? An assessment of telemedicine eligibility among otolaryngology diagnoses.Otolaryngol Head Neck Surg. 2018;158(4):641—644. DOI: 10.1177/0194599818757724</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Rimmer RA, Christopher V, Falck A, de Azevedo Pribitkin E, Curry JM, Luginbuhl AJ, Cognetti DM. Telemedicine in otolaryngology outpatient setting — single center head and neck surgery experience. Laryngoscope. 2018;128(9):2072—2075. DOI: 10.1002/lary.27123</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Янов Ю. К., Кузовков В. Е., Сугарова С. Б., Левин С. В., Лиленко А. С., Клячко Д. С., Костевич И. В. Современные возможности телемедицины для интраоперационного тестирования кохлеарного импланта. Российская оториноларингология. 2018;2(93):97—103.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Meng X, Dai Z, Wang Y, Hua X, Gu X, Guo J, Wang Y, Hang C, Jiang Y. Application of smartphone otoscope in telemedicine in rural medical consortium in Eastern China in the COVID-19 era. Front Public Health. 2022;10:879410. DOI: 10.3389/fpubh.2022.879410</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Shaikh N, Conway SJ, Kovačević J, Condessa F, Shope TR, Haralam MA, Campese C, Lee MC, Larsson T, Cavdar Z, Hoberman A. Development and validation of an automated classifier to diagnose acute otitis media in children. JAMA Pediatr. 2024;178(4):401—407. DOI: 10.1001/jamapediatrics.2024.0011</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Riley PE, Fischer JL, Nagy RE, Watson NL, McCoul ED, Tolisano AM, Riley CA. Patient and provider satisfaction with telemedicine in otolaryngology. OTO Open. 2021;5(1):2473974X20981838. DOI: 10.1177/2473974X20981838</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Alwani M, Campiti V, Nesemeier R, Vernon D, Shipchandler T, Ting J, Parker N. Telemedicine in otolaryngology during COVID-19: an exploratory assessment of provider and patient attitudes. Ann Otol Rhinol Laryngol. 2023;132(2):155—163. DOI: 10.1177/00034894221082739</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Fang CH, Smith RV. COVID-19 and the resurgence of telehealth in otolaryngology. Oper Tech Otolaryngol Head Neck Surg. 2022;33(2):158—164. DOI: 10.1016/j.otot.2022.04.012</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Ning AY, Cabrera CI, D&amp;apos;Anza B. Telemedicine in otolaryngology: a systematic review of image quality, diagnostic concordance, and patient and provider satisfaction. Ann Otol Rhinol Laryngol. 2021;130(2):195—204. DOI: 10.1177/0003489420939590</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>De Ravin E, Armache M, Campbell F, Rising KL, Worster B, Handley NR, Fundakowski CE, Cognetti DM, Mady LJ. Feasibility and cost of telehealth head and neck cancer survivorship care: a systematic review. Otolaryngol Head Neck Surg. 2023;168(6):1312—1323. DOI: 10.1002/ohn.213</mixed-citation></ref></ref-list></back></article>
